| NPI | 1003933649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: TX 50606) |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist (Licence: LA 1164) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2018-03-14 |